Combined anterior and posterior spinal fusion with complications in New York
What 19 hospitals in New York charged and were paid for a Medicare hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454), from 2024 Medicare claims.
Average charge
$312,327
Hospital list price billed
Average payment
$79,008
Medicare + patient + other payers
Medicare paid
$64,718
Average per stay
State rank
#37 of 37
1 = lowest average payment
Hospitals in New York billed an average of $312,327 for combined anterior and posterior spinal fusion with complications, about 4.0 times the average total payment of $79,008. That payment is 33% above the U.S. average of $59,319.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $79,008Billed $312,327
About 25¢ was paid for every $1 hospitals in New York billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New York:
New York hospitals: combined anterior and posterior spinal fusion with complications
Every New York hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Hospital for Special SurgeryNew York | 119 | $317,902 | $89,029 | $72,488 |
| New York-Presbyterian HospitalNew York | 106 | $289,835 | $85,739 | $67,821 |
| NYU Hospitals CenterNew York | 98 | $640,748 | $97,759 | $83,760 |
| Lenox Hill HospitalNew York | 45 | $205,885 | $68,217 | $64,750 |
| St Francis Hospital, RoslynRoslyn | 40 | $323,184 | $70,040 | $45,853 |
| North Shore University HospitalManhasset | 31 | $320,948 | $72,670 | $60,386 |
| Mount Sinai HospitalNew York | 28 | $181,260 | $84,104 | $73,186 |
| White Plains Hospital CtrWhite Plains | 22 | $199,165 | $53,402 | $51,992 |
| United Health Services HospsBinghamton | 18 | $105,679 | $55,098 | $52,898 |
| Buffalo General HospitalBuffalo | 17 | $202,599 | $67,912 | $59,970 |
| Mount Sinai WestNew York | 16 | $235,118 | $81,990 | $68,056 |
| Mercy HospitalBuffalo | 16 | $89,422 | $49,599 | $27,524 |
| University Hospital S U N Y Health Science CenterSyracuse | 15 | $230,663 | $64,752 | $57,690 |
| Huntington HospitalHuntington | 14 | $182,470 | $65,712 | $49,184 |
| University HospitalStony Brook | 13 | $263,034 | $86,684 | $60,888 |
| Crouse HospitalSyracuse | 12 | $103,259 | $53,174 | $43,901 |
| Southside HospitalBay Shore | 11 | $210,017 | $45,892 | $44,184 |
| Highland HospitalRochester | 11 | $107,495 | $51,036 | $37,466 |
| Good Samaritan Hospital Medical CenterWest Islip | 11 | $288,790 | $82,840 | $45,990 |
Lowest and highest payments in New York
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Southside HospitalBay Shore, NY | $45,892 |
|---|---|
| Mercy HospitalBuffalo, NY | $49,599 |
| Highland HospitalRochester, NY | $51,036 |
| Crouse HospitalSyracuse, NY | $53,174 |
| White Plains Hospital CtrWhite Plains, NY | $53,402 |
Highest
| NYU Hospitals CenterNew York, NY | $97,759 |
|---|---|
| Hospital for Special SurgeryNew York, NY | $89,029 |
| University HospitalStony Brook, NY | $86,684 |
| New York-Presbyterian HospitalNew York, NY | $85,739 |
| Mount Sinai HospitalNew York, NY | $84,104 |
Combined anterior and posterior spinal fusion with complications in other states
Questions
How much does combined anterior and posterior spinal fusion with complications cost in New York?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454) at 19 hospitals in New York was billed at $312,327 on average, while the average total payment was $79,008, of which Medicare paid $64,718. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in New York, average charges were 4.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.